Same-day discharge (SDD) after bariatric operation has increased from 2.4% in 2016 to 7.4% in 2021. The study found that black/African American race, history of myocardial infarction, renal insufficiency, DVT, and smoking were preoperative factors associated with increased complications for SDD. SDD for RYGB had a 72% increased risk of postoperative complications compared with SG. […]
Author: STITCHES Newsletter
Remission of Obesity-Related Sleep Apnea After Metabolic and Bariatric Surgery Reduces Mortality and Cardiovascular Events
After metabolic and bariatric surgery, 74% of patients achieved remission of obesity-related sleep apnea, which was associated with significantly lower risks of overall mortality and major cardiovascular events compared to those who did not reach remission. The risk for death and cardiovascular events in the remission group was similar to a control group without sleep […]
Validation of a Laparotomy Simulation Model for Surgical Training
Researchers assessed a simulated laparotomy incision and closure-training model using a quantitative study design. The model was found to be realistic and useful as a teaching tool, with strong content validity evidence. Experts outperformed novices in the evaluation. Pre and post-test assessments showed a significant increase in confidence levels, providing strong validity evidence for the […]
Optimal Extent of Lymph Node Dissection for High-Risk Gastric Cancer
High-risk gastric cancer patients may benefit from limited lymph node dissection (LND), while standard LND improves relapse-free survival in low-risk patients. Limited LND reduces postoperative complications in low-risk patients, without affecting outcomes in high-risk patients. Pancreatic fistula was not observed in the limited dissection group, suggesting it may be the optimal treatment for high surgical […]
Role of Intestinal Microbiota in Modulating Antitumor Effects of Oncolytic Virus Vaccines in Colorectal Cancer
Intestinal microbiota composition plays a crucial role in modulating the antitumor effects of oncolytic virus vaccines (OVVs) in colorectal cancer (CRC). OVVs significantly inhibit tumor growth and prolong survival in early-stage CRC but have minimal impact in advanced stages. Probiotics and fecal microbiota transplantation enhance OVVs’ effectiveness in advanced CRC by increasing activated CD8 T […]
Refusal of Surgery in Rectal Cancer: Shortened Survival Despite Some Achieving Complete Clinical Response
Rectal cancer patients who refused surgery despite incomplete response to neoadjuvant therapy had shortened overall survival (OS). Some patients converted to a complete clinical response (CCR) on subsequent staging, leading to prolonged OS. Patients with near CCR at initial endoscopic staging may benefit from prolonged monitoring before declaring CCR. Increased physician visits and testing were […]
Impact of Right Hepatic Artery Anomalies on Pancreatoduodenectomy Outcomes
In periampullary cancer patients undergoing pancreatoduodenectomy, anomalies in the right hepatic artery (RHA) anatomy, including accessory or replaced RHAs, were observed in 16.3% of cases. However, when comparing outcomes with a propensity score-matched analysis, the presence of these anomalies did not significantly impact perioperative complications or histopathological findings. High-volume centers performing pancreatoduodenectomy can manage cases […]
Impact of Hand Dominance on Laparoscopic Surgical Skills
Researchers found significant differences in skill acquisition and proficiency between dominant and non-dominant hands in laparoscopic surgical training. Network models and EMG data analysis effectively captured muscle activity and learning progression, suggesting the need for tailored training approaches. NASA-TLX scores correlated with performance, emphasizing the importance of objective and subjective measures in training. Personalized protocols […]
Increased Risk of Delirium after Non-Cardiac Surgery Linked to Preoperative Glucose Dysregulation
Preoperative glucose dysregulation, including hyperglycemia, hypoglycemia, or both, was associated with a higher incidence of delirium within 30 days after non-cardiac surgery. The hazard ratios for the development of delirium were increased in patients with hyperglycemia, hypoglycemia, and both types of dysregulation. Interestingly, hyperglycemia was consistently associated with postoperative delirium in all patients, regardless of […]
Octreotide does not improve outcomes in adult patients with post-esophagectomy chylothorax
Octreotide’s efficacy in managing intrathoracic chyle leak post-esophagectomy in adults was investigated in a cohort study. Among 74 patients, 27 received octreotide, but there was no significant difference in chest tube duration, hospital length of stay, or overall survival compared to non-octreotide group. Multivariable analysis confirmed that octreotide did not affect clinical outcomes. The study […]